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A Case Report of Gastroduodenal Artery Pseudoaneurysm and Giant Pancreatic Pseudocyst Following Acute Pancreatitis Revealed by Obstructive Jaundice

Overview
Publisher Sage Publications
Specialty General Medicine
Date 2023 Aug 2
PMID 37529080
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Abstract

Acute necrotic pancreatitis is an emergency of evolution and is often unpredictable because of the potentially life-threatening complications it can cause. We report a unique case of a 56-year-old woman hospitalized for acute necrotic pancreatitis. The evolution of the latter was characterized by the occurrence of two very rare complications, of which the clinical presentations were atypical. The first complication was a gastroduodenal pseudoaneurysm compressing the main biliary tract and causing obstructive jaundice, which evolved well following percutaneous embolization. The second complication was a giant 20 cm pancreatic pseudocyst revealed by obstructive jaundice secondary to biliary compression, which progressed well following surgical treatment.

References
1.
Banks P, Bollen T, Dervenis C, Gooszen H, Johnson C, Sarr M . Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2012; 62(1):102-11. DOI: 10.1136/gutjnl-2012-302779. View

2.
Oria A, Ocampo C, Zandalazini H, Chiappetta L, Moran C . Internal drainage of giant acute pseudocysts: the role of video-assisted pancreatic necrosectomy. Arch Surg. 2000; 135(2):136-40; discussion 141. DOI: 10.1001/archsurg.135.2.136. View

3.
Bohl J, Dossett L, Grau A . Gastroduodenal artery pseudoaneurysm associated with hemosuccus pancreaticus and obstructive jaundice. J Gastrointest Surg. 2007; 11(12):1752-4. DOI: 10.1007/s11605-007-0231-y. View

4.
Zerem E, Hauser G, Loga-Zec S, Kunosic S, Jovanovic P, Crnkic D . Minimally invasive treatment of pancreatic pseudocysts. World J Gastroenterol. 2015; 21(22):6850-60. PMC: 4462725. DOI: 10.3748/wjg.v21.i22.6850. View

5.
Varadarajulu S, Bang J, Sutton B, Trevino J, Christein J, Wilcox C . Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial. Gastroenterology. 2013; 145(3):583-90.e1. DOI: 10.1053/j.gastro.2013.05.046. View